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HomeMy WebLinkAboutOpening of Bids - 2017 Demolitions Phase 2 Project No 117-121 - Green Demolition Contractors4' CITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST' FOR BIDDERS, Project Name 2017 Demolitions, Phase 2 Project No. 117-121 For Bids Due December 12, 2017 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid: security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification, of use of United States Steel Products or Foundry Products. Proof of MBE/WBE Participation Goal Form [MWBE-1.01. If minimum participation goal is not met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0],and MBEANBE Contacted Form [MWB E-2, I], Acknowledge Receipt of 1�1 LI Addendum(s) included with the bid, "111"°A All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature.. This checklist submitted with the Bid. This checklist is provided for bidder's use in assuring compliance with required' documentation; however, it does not include all specifications requirements and does not relieve the Pjdder of the ne4kd to read and comp 105 M=11111=1 By Authorized Repri Signature: Print Name & tl Version 10117/2018 with the specifications. .3, Date: Contractor's Bid for Public Works - 1 w, *I mom K-Samm:1 I BE wel it 211:1 Project Name Project No. For Bids Due Date: Address: 2017 Demolitions, Phase 2 117-121 December,12,2017 PART I (Must be completed for all bids Bidder (Fi Please type or print) E-7yk 0 A /Z �' A/ -4 L) 4hA City/State/Zip:/)&X'Z, I'?/ Telephone Number: 1/4, C) Agent of Bidder (if Applicable): -1k g Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: <7) 10 /0 4 e, tt,/Z) f the City of South Benid. Indiana, in accordance with plans and specifications prepared by: and ✓dated lVov' for the sum of (enter the Total Bi sashown on he Proposal) V -7Aq4JJA,Q 7 d- (Enter sum of Total Bid, all divisions incrud6d, shown on Propo�al) (Numerical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addenclums attached will be specifically referenced at the applicable page. I If additional units of material included in the contract are needed, the cost of it�i rn��! be the same as that ,pr,) 9 mu shown in the original contract if accepted b the Cif of $WM Bend�. lfthpblid j-5 e awarded,on a unit ,or achm, t basis, the itemization of the units shall bes own ona,sepp dwatt n' The above bid is accepted thiis Subject to the following conditions: Gary A. Gilot, President Elizabeth A, Maradik, Member (Printed Name ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member James A. Mueller, Member Attest: Linda M. Martin, Clerk Version 10/17/2018 Contractor's Bid for Public Works - 2 PART II (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projea;ls currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. 3. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10117/2018 Contractor's Bid for Public Works - 3 When the, prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to th4v Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL, PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) STATE OF e- SS: X-1 COUNTY The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: I. Contractor has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and 3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from tirne-to-time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: i. Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty -Five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 1011712018 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's documentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5. Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. in awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise ("WBE") as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-1 ti-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 10/17/2018 Contractor's Bid for Public Works - 5 may result in forfeiture of contractual payments. I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Dated this 1.2 day of _DP, e— , 20 Al Printed Name and Title Subscribed and sworn to before me this day of -�,e 20a My Commission Expires- LO- Notary Pubiic County of Residence /A-,,1114 Version 10/17/2018 Contractor's Bid for Public Works - 6 BID/PROPOSAL CITY OF SOUTH BEND Project Name 20�17 Demolitions, Phase 2 Project, No. For Bids Due DIVISION A: 117-121 December 12, 2017' PEACK Asbestos Item Description Abatement Demolition Total Amount No. [LSUM [LSUMI Demolition of 639 N. Brookfield St. A-01 House and Fence "Duct Tape Demolition of 824 College St, A-02 Multi -Unit and Garage "Duct Tape and Wrap Demolition of 1132 Diamond Ave. A-03 House and Garage "Duct Tape and Window Glazing J 'J 12,SP0 Demolition of 1308 Woodward Ave. A-04 House Duct Wrap $ Idt. Demolition of 1033 W. Rose St. A-05 House and Fence ** $ $11"zvo Tile, Adhesi�lve+, and Floor Covering A-06 NOT INCLUDED IN BID Demolition of 1230 N. Brookfield St. A-07 House "Floor, 4,J Mastic+, Tape, and Air Return Demolition of 112,4 N. Kentucky St A-08 House and Garage "Duct Wrap Demolition of 11025 Lawndale Ave. A-09 House "Ceiling, 1/7Z) oo Wall+, and Siding A-10 Demolition of 1106 Beale St. House and Fence $ A-1 I Demolition of 1240 Queen St. House $ $ml A-12 Demolition of 805 Leland Ave. "Pipe Wrap and Siding $ 4, A-1 3 Environmental Allowance $10,000 DIVISION A TOTAL "Denotes Homes with Asbestos Material. Verify with inspections & reports for, proper disposal. +Point Count Attached Bidder (Firm) Name: b t-,cl CM e- J) Version 10117/2018 Contractor's Bid for Public Works - 7 ADDENDUM 2 DIVISION B: Asbestos Item Description Abatement Demolition Total Amount No., [LSUMILSUM Demolition of 1521 W. Fisher St, B-0 1 House and Garage Duct Wrap, Tile, and Floor B-02 Demolition of 1525 W. Fisher St. House and Shed $ 8-03 Deolition of 321 McPherson St. Houmses B-04 NOT INCLUDED IN BID B-05 Demolition of 309 Laurel, St. House, Shed, Fence, and Doghouse Duct Tape B-06 Demolition of 214 S. Kentucky St. $ Houseand Shed 5r— Demolition of 230 Birdsell St. 8-07 House and Fence "Siding, Duct Wrap, Duct Tape, and $ Floor Covering B-08 NOT INCLUDED IN BID Demolition of 314 N Walnut St. B-019 House and Shed **Duct Wrap and Duct Tape B-10 Demolition, of 319 LaPorte St. House and Fence Demolition of 528 (Euclid St. B-1 1 House, Garage, and Fence "Duct /6, e?/') 49 1,-7, -)sz) Tape B-12 I Environmental Allowance $10,0010 DIVISION B TOTAL $ -v "Denotes Homes with Asbestos Material. Verify with inspections, & reports for proper disposal, +Point Count Attached Bidder (F'irm) Name:°'8L�.,�e. I A111 92// Version 10/17/2018 Contractor's Bid for Public Works - 8 ADDENDUM 2 Asbestos Item Description Abatement Demolition Total Amount No. [LSUM] [LSUM] C-01 NOT INCLUDED IN BID C-02 Demolen o1601 Retaining House, Fence, and Retaining Wall ro $ k) C-03 NOT INCLUDED IN BID Demolition of 618 Dubafl Ave. C-04 House, Fence, and Wall "Duct Wraprf Demolition of 1804 S. Michigan St. C-05 House, Garage, and Fence **Pipe Insulation Demolition of 2223 Catalpa Ave. C-06 House, Garage, and Fence 4"oszo Duct Wrap and Floor Covering C-07 NOT INCLUDED IN BID Demolition of 1618 Prairie Ave. C-08 House House has been gutted Demolition of 1222 Miner St. C-019 House, Garage, and' Fence ** Mastic, Tile, Plaster+, Duct Wrap, and Duct Tape C-1 0 NOT INCLUDED IN BID Demolition of 314 E. Milton St. C_1 1 House, Fence, and Wall Floor Covering+, Siding, Duct Wrap, 6) and Tile C-12 Environmental Allowance $10,000 DIVISION C TOTAL "Denotes Homes with Asbestos Material'. Verify with inspections & reports for proper disposal. +Point Count Attached Bidder (Firm) Name: Version 10/17/2018 Contractor's Bid for Public Works - 9 ADDENDUM 2 DIVISION A TOTAL: DIVlSION BTOTAL: DIVISION C TOTAL: L3 V-"/ BID TOTAL (ALL DIVISIONS): ASBESTOS ABATEMENT UNIT PRICING (required for all bids): Item No. Unit Pricing if Required Unit Add Per Unit Price I. Removal, Management, and Disposal of Linear Feet $ Duct Tape Material ContainingAsbestosIt. Removal, Management, and Disposal of Square Feet Duct Wrap Material Containing Asbestos Removal, Management, and Disposal of Ill. Floor Tile and Mastic Material Containing Square Feet Asbestos IV. Removal, Management, and Disposal of Square Feet Plaster Material Containing Asbestos 'S"F7 Removal, Management, and Disposal of V. Corrugated Sheet Material Containing Square Feet Asbestos Removal, Management, and Disposal of VI.. Attic Insulation Material Containing Square Feet Asbestos Removal, Management, and Disposal of Vill. Transite Siding Material Containing Square Feet $ Asbestos Bidder (Firm): Address: City/State/Zip A,fv 4 zae� 41 Telephon 3W 101­71 P I (Printed Narne of Person Signing) Version 10117/2,018 Contractor's Bid for Public Works - 10 ADDENDUM 2 1316 COUNTY -CITY BUILDING PiioNF 574/235-9251 227 W. JEFFERSON BOULEVARD U tv FAX 574/ 235-9171 PEACK Sou'ri I BEND, INDIANA 46601-183 0 TDIJ 574/ 23,5-5567 J( W 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR Date: To: From Subject Project Name: Project No.: F 11 W1111 Date Received: December 6, 2017 All Planholders Linda M. Martin, Clerk, Board of Public Works Addendum Number: I 2017 Demolitions, Phase 2 117-,121 s2 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Compa Author Date: 1316 COUNTY -CITY BUILDING 0� '1Z� PHONE 574/ 235-9251 227 W.JEFFERSON BOULEVARD d FAx 574/235-9171 SOUTH BEND, INDiANA466ii1-t830W vH"" TDD 574/235-5567 Y S .r 1865 CITY OF SOUTH BEND FETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 7, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: 2017 Demolitions, Phase 2 Project No.: 117-121 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: 12 — ; —,/ 7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: 11 C Authorized Si2naturd' " Date: CONTRACTOR: (Alame, legal slatus eviel adfh-ess) Groan Damolition Contractors, Inc, 1427 W Dickens Ave Chicago, IL 60614 OWNER: (Alame, lepi slahis wid adeh-ess) City of South Bend Indiana Board of Public Works 227 W Jefferson Blvd South Bend, IN 46601 SURETY: (Name, legal dolts imel pi•ineipal place qfbnshless) Developers Surety and Indemnity Company PO Box 19725 Irvine, CA 92623 BOND AMOUNT: 5% not to exceed Seven Thousand Five Hundred Dollars PROJECT: (Molne, location or achkess, and Trqiecl mimber, ifew,a)) Wreck and Removal - Project 117-121- 2017 Demolitions Phase 2 - Division C, 10 Properties. This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered PILlfal where applicable, 'flie Contractor and Surety are bound to the Owner in the amount set forth above, liar the payinent ol'which the Contractor and Surety bind themselves, their heirs, executors, administralors, SUCCCssorsand assigns, jointly and severally, as provided herein, I'lie conditions of this Bond are such that ifthe Owner ncefils the bid of the Contractor within file tinie specified in the bid (10CUMICitS, Or within such time period as may tic agreed to by file Owner and Contractor, and (tic Contractor either ( I ) enters into ,I contract with the Owner in accordance with the terms OlSUCh bid, mid gives Such bond or, bonds as may be specified in the bidding or ('011traCt I)OCLI1111211tS, With SLII'et)' UdIllitIM in the jurisdiction of the Protect and otherwise acceptable to file Owner, 11ol, the flailliful pe rforn 1,11 ice orsalch Contract and fior the prompt payment of labor and material l'urnished in file prosecution thereof. or (2) pays to the Owner the difibrence, not to exceed the amount ot'this Bond, between the anlMult specified in said bid and such larger amount liar which the 0wiler may in good 1i ilh contract with another party to perform the work covered by said bit], then this obligation Miall be null and void, otherwise to reillain ill Full fbrCC and CM0. '111C SUIVtV hereby waives any notice of all agreement between the Owner and Contractor to extend the tinge ill which the 0writer may, accept the bid. Waiver of notice by file Surety shall not apply to any extension exceediiq?, sixty (60) days in the aggregate beyond the tinic lot - acceptance ofbids specified in life bid documents, and the Ownet, and Contractor shall obtain the SLII'Ct)"S C011SCIlt 1`61' an extension beyond sixty (60) days, Ifthis Bond is issued ill connecti011 NVith a SLibcointractor's bid to as (1, oil tractor, the term. Contractor ill this Bond shall be decilled to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished 10 C011111)1y With as Sllatl.1101y 01'01110' legal IV(lLlirCI1lCnt in the location of the Project, all), provision in this Bond con1lictirig with said statl.11101'y 01' legal W(ILdIVI'llent Shall be deemcd deleted licrefroin and provisions conforming to such statutory or 0thCl' lCgat W(JUirernelit,shall be: deemed incorporated herein. When so furnished, the intent is that this Bond shall be: construed as a.sqilii. ltol�,,bond and not as a coninion law bond Signed and scaled this 7th (lily of December, 2017 Green Demolitio6dqnt'i'acto In 6 t'Sc 'P" /0, Developers Surety I and IndemnityCompany) (.Seal) (lade) David Parrilli 2 Attorney -In -Fact a",AUVOW Ycmj IlVra,itrllitMgn airl oirmglrtwll MA GoMnaira Doatn'non'r." nriri vovhlch, t1hi's text "qppovas rill l"ZM An oJt lirrzfl that charqjo,.r yvrlV ri�cA lh,t, cell,rmu red AIA Document A3101m— 2010, Copyright(r) 1963, 1970and 2010 by The American Institute of Architects. All rights reserved, VVAMAN�r NA" Init. mr, tacIN"'ch"d 1"1y L)"S" "„c')Jpyflglht ILA oV �ancl IlMeirnaUonall lvoafies,. sore rrs uoi ¢^t repmducflorr o,'n rfistribiulinn ar fl�lls PM' Eloonrionl, ov amy P,w6rhn cif K, lieu q, in srwe�(',' civil ,iivJ orfirnirufl and vvM pirour"'("I'lited l,eu the rwaximurn exron'r, P05%ft", urciev Ofe kvn, Purchasers are permitted to reproduce hen ('10) copies of this document where wrnpleiod. ro report copyright violations ofPdA Contract DocumonW, e-sytatl 'The American Institute of Architects' legal Counsel, copyriglit@aaa.org. (KA I to POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint 'Robert H, Walker, Joseph Maderak, Kathy Rzepa, David Parrilill, David Kotula, jointly or severally — as their true and lawful Attorneys) -in -Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attomey(s)-hf-Fact full power and authority to do and to perform every act necessary, requisite, or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attomey(s)-in-Fact, pursuant to these presents, are horehy ratified and confirmed, This Power of Attorney Is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008, RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney($) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate retailing thereto by facsimile, and any such Power otAttorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 6di day of February, 2017. By: VANdiry,y'�.rp%olw A IN y Daniel Young, Senior Mce-Presiderfl, Z APO&, ' 1936 5 OCT1907 U) By: 0 1, C, fpO Mark Lansdon, Vice -President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to Which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange on Egbrg�ufi—K-127 beforeme, Lucille Raymond kfilolag ... .. .. .. ....... .. .. ................. .... ...... ........... .. Us Here Insert Name and Tide of tha Offm personally appeared Daniei_Young and Mark Lansdon Nome(s) of %nw(s) who proved to me on the basis of'satisfactory evidence to be the person($) whose flame(s) Ware subscribed to the within Instrument and acknowledged to me that helshelthey executed the same In hisilier/their authorized capacity(ies), and that by histheritheir signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND which the person(s) acted, executed the instrument. Commission 0 20811945 Notary Public - Callfortila I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Z Orange County true and correct. M� Comm, Expires Oct 13, 2018 A WITNESS my hand and official seal, Place Notary Seal Above Signature Lucifl�6y4foncl, Notary Public CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORMA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Director$ of said corporations set forth In the Power of Attorney are in force as of the date of this Certificate. 717"' This Certificate is executed in the City of Irvine, California, this day of /2 00T, 5 By: 1936 Cassie Jv"Arrisford, Assistant Se#lary 0 V ATS-1002 (02/17) 1V!12 191 11HM"MM'AA IA CONTRACTOR: Green Demolition Contractors, Inc. 1427 W Dickens Ave Chicago, IL 60614 )UM (Alwne, legal stairs cind atkkess) City of South Bend Indiana Board of Public Works 227 W Jefferson Blvd South Send, IN 46601 SURETY- (AI,ame, legyal suilux a) id pi,incilml p1we ql'business) Developers Surety and Indemnity Company PO IBox 19725 irvina, CA 92623 5% not to exceed Nine Thousand Dollars PROJECT: (M-ane, location o), ew*h-ess, and M-qjeel nwnbel% if crrat�) Wreck and Removal - Project 117-121- 2017 Dernolitions, Phase 2 - Division A, 12 Properties, This docurnent has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular refeience to Contractor, Surety, Owner or other party shall be considered Plural where applicable, 'file Contractor and Surety are bound to the OWIlet' ill theallIOUnt set fibrill above, fior the payment of which the (".ontractor and Surely bind themselves, tkil'1161-S, CXCCLIAMS, ldnliniStf`at0I'S, successors and assigns, ointly and severally, as provided herein, 'I'lie conditions of this Bond are such that ifthe Owncr accepts file bid of the Conftactoi- within tile line: specified in (lie bid doCUDICIltS, M \Vithill SUCh HIM period as may be agreed to 1)), the Ownei,and Contractor, and the Contractor either ('I) enters into it contract With the OMM' in IICCOI-dallCe With the l[CH1111S, Of'SLICII bi(L and gives such bond or bonds as may be specified in the bidding cats Contract Documents, with a surety admilled in tho jurisdiction of tile llrqiect and otherwise acceptable to tile ()\\fner, R)I' the J'aill'ifill I)CIII(M-InalICC 01"SLICh ('0111raCt and liar the prompt payment oaf Labor raid material furnished ill the prosecialion thereof, or (2) pays to the Owner the difference, not to exceed the aniolint of this Bond, between the allIOUnt specified in said bid and such larger alflOUnt 1,6r which the Owne'r natty ill good f1lith Contract with another party to perk)rrn the work covered by said bid, then this obligation shall be null and void, otherwise to rollain ill fall 1'01'CO and stied, 'HIC SLII'ely hereby waives any notice of all agreement between the Owner and Contractor to extend (lie tirric ill which the Owner may accept the bid. Waiver -of notice by the Surety shall not apply to any extension exceeding; sixty (60) days in the aggregate beyond the little Ibl' acceptance cal' bids specified it,) the bid doctiments, and the Owner and Contractor shall obtain the Suirety's consent fior ,Ili extension beyond sixty (60) days, Ifthis Bond is issued in Connection vvilh a Subcontractor's bid to a Contractor, the term Conlractor in this Bond shall be decined to be Subcontractor and the term Omier- shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or rather legal requirement In the location of the ProJecil, any provision in this Bond conflicting with said statutory or legal rCtlUireilleot shall be deemed deleted herefironi nand provisions corillorming to such slatutol-y (a- other legal requirement shall be deemed incorporated herein. When so Furnished, the intent is that this Bond shall be construed as a statutmy bond and not as, a corninion law bond. SigllQ)l all(] smiled this 7th day of December, 2017 MlqKael I DevelopersSurety r - 7711 —T(M7� �. .- 1 11 -- -; -1-1 �,- — -- .. . .... ... --- — — - - -- - --. — David"Parri i - Attorney -In -Fact GALJTIC'111,111"Y()U sa(,jri an ari�,,Ihna� AUN Gontf,,,mt Guirneral ruuu whkh flih,, tinxt,,appoars kw Fell, An osst,irwn tl"�vd Own gos will nMa No o[Pscvred, AIA Document A310111 — 2010. Copyright 0 1963„ 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNJOVAWhds MA' hait. DovurfnoeiO: stir C'npyikul i—aw an inle wuafiarlM Nc,""Ri'm 11,11naRM''Ou wpirodiuckRprn �,Pr &�,,,,h OmOin of tids MA" [ , 11100u4`01010, ca any of 0, u"ay rasiW rn ""evere, 60H mmi.b c6m4nai oidl Ibe prow evrusted kf(he auto flnnurns coAtird pcs�ifliflir,, undel, flhq, hwv Purchasers are pernnitted to reproduce ten ('to) copies of this document when connpl!elocl. To report copyright violations of AIA Contract Docuinentu, 6-mail The American Inshlute of Architects" legal counsel, copyrighfi@aia,org, 061110 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263,3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appolrit: ***Robert H. Walker, Joseph Maderak, Kathy Rzepa, David Parrilli, David Kotula, jointly or severally' as their true and lawful Allorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Attorneys) -in -Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and Atl of the acts of said Attomey(s)4n-Fact, pursuaritto these presents, are hereby ratified and confirmed, This Power of Attorney Is granted and is signed by facsimile under and by authority of are following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008, RESOLVED, that a combination of any two of the Chairman of the Board, the President Executive Vice -President, Senior Vice -President or any Mce President of the corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualift4rig the attorney(s) named in the Power of Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate rotating thereto by facsimile, and any such Power ofAttomay or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future With respect to any bond, undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respectite officers and attested by their respective Secretary or Assistant Secretary this 5th day of February, 2017, By, AND 14,�'O% Daniel Young, Senior Vice -President Z to z""i CT,6 1936 1 -< :0-spar .0. By: o:.� Mark Lansclort, Vice President 1,� ......... o to Anotary public or other officer completing this certificate verifies only the identity of the individual who signed The document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of CaVoinia County of Orange On February 6,2017 before me, Lucille Raymond, Nok0LEuhdq1_1, . .... .. .. .. .. .. ..... ............... . ... .. . ........ Date Hereln"dNamv ondnGoolthe 0(rxgr personally appeared . ... .. ..... . . ............... .... . ... Daniel Young and Mark Lansdon NaMe(&)0f&9W(&) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that helsheithey executed the same in his/herltheir authorized capacity(ies), and that by histher/their signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND which the personts) acted, executed the instrument. Commission 0,2081945 1 Notary Public - Calitorala I certify under PENALTY OF PERJURY tinder the laws of the State of California that the foregoing paragraph is Orange County true and correct. lvl� Comm, Exc�s;Oct�13, 2018 WITNESS my hand and official seal', Place Notary Seal Above Signature Lucilleend, Notary Public CERTIFICATE The undersigned, as Secretary orAssistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not lbeen revoked and, furthermore, that the provisions ofthe resolutions of the respective Boards of Directors of said corporations set forth in [lie Power of Attorney are in force as of the date of this Certificate, This Certificate is executed in the City of IrvIne, California, this 7 day of No �ANYq� oW I' Qi44% V_ OCT 5 w, '1936 o By; .0 Goggle J.APrristord, Assistant Sectblary ATS-1002 (02/17) OTM -2010 -AIA Document AM CONTRACTOR: Green Demolition Contractors, Inc. 1427 W Dickens Ave Chicago, IL 60614 OWNER: (jVcvne, legal stams a) 0 atldress, City of South Bond Indiana Board of Public Works 227 W Jefferson Blvd Soothe. Bond, IN 46601 RMV 1-17,41 LH41 11 ki SURETY. (Mime, leg(ilst(ttiivtread pi,i)icil)tilpl(it,-,e qfbitshiess) Developers Surety and Indemnity Company PO Box 1972!5 Irvine, CA 92623 5% not to exceed Eight Thousand Dollars PROJECT: (Alame, location o)- a(hh-ess, and M-qieo numbel., Wreck and Removal - Project 117-121- 2017 Demolitions Phase 2 - Division B, 9 Properties. This document has important legal C0rISeqL1enCeS. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shalt be considered plural where applicable. `I'lie C°ontractor and Surety are bound to the ONvner in the amount set lbrth above, for tile Payment of which tile Contractor- and Surety bind thleniSCIVICS, their IlCill MCLI101-S, administrators, Successor's and assigns, Jointly and severally, as provided herein, The conditions ofthis Bond are such that if the Owner accepts the bid oflile Conti actor' within the time specified in the bid (10CLInnerits, or' within such finie period as ina), be agreed to by the Owner aria Contracior, and the Colilractor either ( I ) oiters into to conlracl with (lie Owner in accordance Nvith (lie tef-IIIS tat` such bid, and gives such bond w bonds, as may be specified in the bidding or C01111'aCt DOCUITICIIN, with asurety admitted in theJurisdictioll cif the Project and otherwise acceptable to the Owlier, t'or the faithful pert'61,111"i lice cif such Contract and I , bi- tile prompt paynicill of labor and millerial Furnished in the prosecution thcTcof'1- or (2) pays to tile Owner the difTbrenec, not to exceed the amount 01"thiS Bond, between the aniotint spccified in said bid and such Jargeraniouni 1b], which the Owner may in good I'ailh contract with another party to pul'orin the work covewd by said bid, their this obligation shall be 111.111 and void, otherwise to remain in full 16-ce, and effect- 'I'lle Surely hereby waives any noliccof an agreement belween (lie Owner and Contractor to extend the tirile ill which the Owner may accept tile bid. Waivel, cal' notice by the Surety shall not apply to ally extension exceeding sixty (60) (lays in the aggregate beyond the time l'or acceptance of bids specified ill the bid (10CUITICTItS, and tile O\VnCr and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days, If this Bond is issued in connection with a subconti-actor's bid to a Clonn-actor, the term Contractor in this Bond shall be deemed to be Subconvacitor and the term Owner shall be deemed to be Contrac(or, When this Bond has been furnished to C011111fly With as SlatUtOry Of other legal 1,equirelilcrit in the. location cif the Project, ject, any provision in (his, Bond contlicting with said statirtoll or legal requirement shall be decreed deleted herefi-on) and provisions conforming to such statutory 01' other [eg"It requilrenjent,shall be deemed incorporated liercin. When so Furnished, tile inleni, is that this Bond shall be C01101110d and not as a common law bond. and scaled this 7th day of' Dqdember, 2017 ti q I lqn'OnAractor�,460. A Green Pe /I, (Seal) PC 1 MA h �ar' r�y' Developers Sur and Indemnity Company -1-1111111- . . ........ ....... . A Davril ParrilliAftorney-In-Fact ipfr,Mll4 pair You sl-iniuld slon all nuullgtlroarli MA Docurnaird, on vvhlil"'11"k twJ s nri R11RE), IjIn clflglnal vvf�'sw o"s that, I Ipeffl not, and Iibsaumdo AIA Document A-tA3101" - 20M Copyright Q 1963, 1970 and 2010 byThe American Institute of Architects. All rights reserved. VjArfll TlflMA" Init. Ejl) U MICI-11 t Is P: 11,04ocind 1Pnyp Laropoind Vnl,urrlalll'NIIM roplol"lucflon c'pr dllsfiibu6c,n of Hfls MA' of Anly poirtkkn of It" rruay re�suH ore smveA"rk"fl c11W crb'rM'u11l pairmlfies, and wNI be Iriro r oc Ili incl tin 01V vollMrnurn uIllellwirs"N." r"Avo. Purchasers are permitted to reproduce ten (110) copies of this document when completed. To report copyright violation Is of AIA Contract Documents, ll The American institute of Architects' legal counsel, copytigtit@aia.org. o61110 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725, IRVINE, CA 92623 (949) 263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each hereby make, constitute and appoint: 'Robert H. Walker, Joseph Maderak, Kathy Rzepa, David Parrilli, David Kotula, jointly or severally' as their true and lawful Atiorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of suretyship giving and granting unto said Allomey(s)-in-Fact foil power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1 st, 2008. RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the corporations be, and that each of [hem hereby is, authorized to execute this Power of Attorney; qualifying the atlorney(s) named in the Power ol'Attorney to execute, on behalf of the corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney; RESOLVED, FURTHER, that the signatures of such officers may he affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certifica le bearing such facsimile signatures shall be valid and binding upon the COTT)CIatiOnS when so, affixed and in the future with respect to any bond, undertaking or contract of suretyship to which it is attached, IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February, 2017. By, AND AN Y Daniel Young, Senior Vice -President 1936 10. 1 67 By 4 0. 0 Mark Lansdon, Vice -President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this cer-ificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange Or, February 6, 2017 before me, Lucille Raymprud.Uptqry jq, Date Hove Insert Name and T& of he Officet personally appeared Daniel Young antLlyieroL nsdon Nwn9(s)o1s1gner(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his1herAheir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of LUCILLE RAYMOND which the person(s) acted, executed the instrument. Commission 0 2081945 Notary Public - California I certify tinder PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Z Orainge County true and correct. M Comm, Ex Ires Oct 13 HIS WITNESS my hand and official seal. " Place Notary Seal Above Signature . Lucilt l i3ykond, Notary Pubiic CERTIFICATE The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power ofAttorney are in force as of the date of this Certificate. p e"5 ? . ........ /4 This Certificate is executed in the City of Irvine, California, this 1-7 day of '%NVANY0 By: ME 0 T, 5 1936 Cassle J rrsford, �!ss �Fsfa_nt SeWfaq 0 �7 IFO ATS-1002 (02117) ............. co a z w 3 (D CD S z 3 90 > CL 51- rn m Co 3 CD CD ID -a W zo, Sr (n 0 CD D 0 CL a CD o RL CD CD CD CL w CL R co m 0 m > 03 CD T CL CD 0 Rolowy-, z N IF z M 3 5p E ol ;:; --I m c 0o LM rr r CL m L9 M *0 0 0 c = CL Lo. cr cr m 0 (D z =r 0 in (D > z 0 m M 0 r.L < g —0 -3 m m --I -n r- m z 0 � 0 0 0 03 -0030 n M -u > M 0 Cl) z Z I -j M * Or" d co cn --i 0 0 M CD 3: F3 :5 L rT, ca Z M ur --] z m a ;a -z cr X co m M 0 m -1 W m so: ID. ID 0 0 < 0 fm -" E cu W! M, 0 m Zf 0 0 m CITY OF SOUTH BEND MINORITY AND WOMEBUSINESS ENTERPRISE DIVERSITY DEVELN OPMENT PROGRAM FORM MWBE,-2.0 EVIDENCE OF GOOD FAITH EFFORTS This completed form should be included as part of the Bids documents related to City of South Bond Public Works Projects requiring Good Faith Efforts to obtain MBE/WBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 117-121 Date: W a 2, )'0 Project Name: Bidder: Contact Person: Address: City: Email: KiTFANT-ri"i NHTMMIT-111112� I Zip: To determine whether a bidder has demonstrated good faith efforts to reach the MBEANBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*: EVIDENCE OF GOOD FAITH EFFORTS MBE BE LIST(S,): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (hftp://www,in.gov/idoa). ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: J) Attend all pre -bid meetings scheduled by the City to inform! MBEAIVBEs of contracting and (71 subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting opportunities, and allow MBEANBEs reasonable time to respond. 3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for thern to participate effectively. 4� � Utilize pre-existing services of available community organizations, small' and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/WBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBES, including providing such MBEANBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBE/WB,Es as unqualified without sound business reasons based on a thorough investigation of their capabilities. J SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBEANBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBEANBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has CONTRACT '�o bid on the subcontracting opportunity: s rt y , ! number; 1. Name, address, and telephone number; 2 , 'ddescription of information provided by the bidder or subcontractor; and . A statement of whether an agreement was reached, and if not, why not, including any reasons for of e tw s reached, st t m t w t r a g r em e 0 e statement was u u aliti 0 to n d h the BE BE a unqualified perform the job. co clu ing t at M �V *P—r6per demonstration of Good Faith Effort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10/17/2018 Contractor's Bid for Public Works - 12 11 CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM 57 FORM MWBE-2.1 MBE/WBE CONTACTED This completed form should be supplied with Bids that pertain to City of South Bond Public Works Projects requiring contacted MBEfWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE 'OF Project Number: 117-121 MBEANBE Participation Goal 21 Project Name: 2Q,1 7 nn �Deofitioj)p, Phase 2 Bidder:/ If/ (Title) (Date) I MBEANBE Firm � / V Owner or Contact at BENVBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT� RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBENVBE Firm Owner or Contact at MBEANBE Firm Telephone: Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBEIWBE FIRM: Version 10/17/2018 Contractor's Bid for Public Works - 13 -FORM96 CONTRACTOR'S BID FOR PUBLIC WORK State Form: 52414 (R2 / 2-13) / Form 96 (Revised 2013) Prescribed by State Board of Accounts PART I (To be completed for ail bids. Please type or print) Date (month, day, year), December 12, 2017 11. Governmental Unit (Owner): City of South Bend Department of Public Works 2. county: St. Joseph 3. Bidder (Firm): Green Demolition Contractors Incorporated LLC 523 Northbrook Drive City/State/ZIPcode:- Michigan City, Indiana 46360 4, Telephone Number: 773-477-7160 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersigned offers to furnish, labor and/or material necessary to complete the public works project of City of South Bend Department of Public Works (Governmental Unit) in accordance with plans and specifications prepared by of Public Works. City of South Bend Department and dated November 2017 for the sum of 7 The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the Vetting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached, will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (if applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. I understand that violations hereunder may result in forfeiture of contractual payments. ACCEPTANCE The above bid is accepted this day of , subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more -- IC 36-9-12-4) Governmental Unit: City of South Bend Indiana Department of Public Works Bidder (Firm) Green Demolition Contractors Incorporated LLC Date (month, day, year): December 12, 2017 These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner See attached 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner See Attached 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 Incorporated in the State of Indiana Union Shop PROJECT EXPERIENCE GOVERNMENT City of South Bend Indiana 1316 County -City Bldg. Rm. 1316 South Bend, Indiana 46601 Mr. Toy Villa 574-235-5920 Demolition of 103 Abandoned Properties Scope of Work: Wreck and Remove Complete with Grading and Seeding of 120 Properties Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Saleh 312-603-8015 Scope of Work: 2015/16 $ 1,878,922.00 2015/16/17 $ 925,000.00 Open Ended Contract ongoing through the depletion of Grants/Funds Demolition of Abandoned / Vacant Homes throughout Chicago and Cook County. Brown & Momen, Inc. 823 E. Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Marshall Field Garden Apartments Building 5 Chicago. IL Scope of Work: Interior selective removals of all finishes multi story level HUD Building 2016/2017 $744,000.00 " 1....- .� . , 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 City of Chicago/Wight Co. 2500 North Frontage Road Darien, IL 60561 Dennis Podzimek 630-918-9428 City Hall Space Consolidation Scope of Work: Multiple Interior Floor Selective Removals of Finishes and Furnishings. Working in strict adherence with Municipal Building — Security Procedures IHC Companies 1500 Executive Dr. Elgin, IL 60123 Tom Carrano 847-841-7713 Niles North US 2014Summer Renovation Skokie, Il Scope of Work: Selective and gut removals of Locker Rooms - Kitchen Cafeteria- Entrances and other various areas Lee & Ryan Construction 1707 Melody Ln. Greenfield, IN 46140 Ryan Keane 317-467-6577 Edward Hines VA Hines, Il Scope of Work: 2014 $498,800.00 2015 $524,000.00 2014 $190,000.00 Main Hospital North Entrance removal of Front Structural Fagade, floors and roof with all adjoining finishes. Barton Malow Company 150 N Upper Wacker Dr R650 Chicago, IL 60606 Brian Courtney 312-281-0821 523 Northbrook Drive Michigan City, IN 46360 Office: 312-409-4771 Fax: 773-477-7149 January 2015 Argonne National Laboratory $212,000.00 Argonne National Lab — Materials Engineering Building 370 Building 360 Expansion Scope of Work: Green Demolition performed wreck removals within Building 370 adjacent to an ongoing Phosphorous Experiment working in direct conjunction with electric, communications systems, sprinkler systems, natural gas and steam while performing lead and asbestos abatement. Green Demolition performed a Building Wreck within 10 feet of a Linear Accelerator without service interruptions to the electric, water, sewer, natural gas, steam and communications systems. 523 Northbrook Drive Michigan City, Indiana 46360 Office: 312-409-4771 Fax: 773-477-7149 December 12, 2017 City of South Bend Department of Public Works South Bend, Indiana Re: 2017 Demolitions Phase 2 Project Number 117-121 Public Works Projects Awarded 1 In Progresss Wredling Middle School $ 59,000.00 Norris Recreation Center West Leyden High School $ 704,000.00 Cicero School District 99 $ 200,000.00 Park District of Highland Park $ 55,000.00 Skokie SD $ 157,300.00 Grass Lake $ 88,000.00 Zion $ 22,500.00 Chicago Transit Authority East Lake, Milwaukee and Illinois Sub Stations Upgrades $ 498,000.00 Chicago Transit Authority Broadway Sub Station $198,000.00 Oak Brook Police Department $68,000.00 Respectfully submitted, Michael Brough, President Green Demolition Contractors, Inc. k7T, F . +. . e . �. • APPROVED AND FILED CONNIE LAWSON INDIANA SECRETARY OF STATE 04/06/2017 07:54 AM BUSINESS ID 2015061100177 BUSINESS TYPE Domestic Limited Liability Company BUSINESS NAME GREEN DEMOLITION CONTRACTORS INCORPORATED PRINCIPAL OFFICE ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA YEARS 2017/2018 NAME MICHAEL BROUGH ADDRESS 523 NORTHBROOK DRIVE, MICHIGAN CITY, IN, 46360, USA TITLE President NAME ADDRESS Michael Brough 523 Northbrook Drive, Mich City, IN, 46360, USA IN WITNESS WHEREOF, THE UNDERSIGNED HEREBY VERIFIES, SUBJECT TO THE PENALTIES OF PERJURY, THAT THE STATEMENTS CONTAINED HEREIN ARE `TRUE, THIS DAY April 6, 2017. SIGNATURE TITLE Michael J Brough Registered Agent Business ID: 2015061100177 Filing No.: 7567738 1316 COUNTY -CITY BUILDING � ,:� � /; PHONE 574/235-925I 227 W. JEFFERSON BOULRVARD '. t7 FAX 574/ 235-9171 Souni BEND, INDIANA 46601-1830 S 'a Fs.; TDD 574/ 235-5567 w CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS 2017 Demolitions, Phase 2 117-121 Addendum No. 2 Date: December 7, 2017 To: All Planholders From: Roger T. Nawrot, PE & PLS, Assistant City Engineer `// I. Summary of Revisions 1. One house has been removed from the bid. a. C-03 —1121 Oak Park Street The following information is to be changed/added to the contract documents: II. Special Provisions 1, REPLACE, Section XX.B. Lc C. Division C: 7 Houses, C-02, 04, 05, 06, 08, 09, 11 III. Bid/Proposal 6. REPLACE Bid/Proposal form with the attached revision. Attachments: Revised Bid Form (4 pages) This addendum consists of a total 6 pages inclusive of "Acknowledgement of Receipt of Addendum" sheet- Have you ever failed to complete any work awarded to you? No If so, where and why? 4. List references from private firms for which you have performed work. See attached SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) See Attached 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. See Attached 523 Northbrook Drive Michigan City, W 46360 Office: 312-409-4771 Fax: 773-477-7149 References Private CR Realty Advisors 325 West Huron Chicago, I160654 Cell: 847.721.7906 Office: 312.332.7100 Brown & Momen, Inc. 823 East Drexel Square Chicago, IL 60615 Mr. David Clark 312-788-0770 Rockford Construction Grand Rapids, MI 49508 Brock Burgess 616-437-4226 LaPorte, In Meijer Cook County Land Bank Authority 69 W. Washington Suite 2938 Chicago, IL 60602 Mr. Mustafaa Salch 312-603-8015 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. See Attached 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. See Attached 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. See Attached SECTION III CONTRACTOR'S FINANCIAL_ STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded. I. Welcome and Introductions Sign -in Direct all questions, in writing, during bidding: Tara Weigand, Project Engineer for South Bend Public Works, twei and @southbendin. Cloy Questions due by 5:00 p.m. (Local Time) Tuesday, December 5, 2017 Project Overview A. Work includes the demolition of several Vacant and Abandoned homes. Work is divided into three divisions with 8-11 houses each. 1. Each division will be awarded to the lowest responsive/responsible bidder in that division. B. Work includes the removal of the complete structure including basement, basement flooring, and other basement walls or stairways, and all other appurtenant work on the site as specified in the bid specifications, as well as removal and disposal of all demolition materials, remediation of asbestos containing materials as necessary, and final filling, grading and white dutch seeding of the site. C. Contractor must provide Asbestos Abatement Unit Pricing for bid to be considered responsive. D. Concrete sidewalks, drive approaches, curbing, curb ramps in the right of way are to remain in place in existing condition. III. Schedule A. Contractor shall complete the work for all Divisions awarded within the following timeframe from the date the Notice to Proceed is issued. 1. Division A shall be forty-four (44) calendar days. 2. Division B shall be thirty-six (36) calendar days. 3. Division C shall be thirty two (32) calendar days. B. Upon notification of award, the Contractor must send "Notification of Demolition and Renovations Operations" to IDEM. C. Notice to Proceed will be effective upon the end of the ten (10) working day notification period for notice of demolition. D. Within two (2) business days of the Notice to Proceed, Contractor must secure at least three (3) demolition permits for each Division awarded from the Building Department. Thereafter the Contractor shall secure the remainder of the permits for each Division within two (2) additional business days. E. Contractor must complete work entirely, including backfilling and seeding, on no less than four (4) properties within two (2) calendar weeks per each division awarded. F. Once demolition of structure on a site begins, it must proceed continuously until removal of all debris. G. Liquidated Damages - $500/ calendar day — Special Provisions Section XVI.B.2 IV. Bidding Overview A. Plans and Specifications 1. The Contract Documents are on file and available for public inspection commencing on the first advertise date during regular working hours at the Department of Public Works (1316 County -City Building, South Bend, Indiana), and at MACIAF 3215-A Sugar Maple Court, South Bend, IN 46628. Additionally, the Contract Documents will be available that same day for inspection or purchase at American Reprographics Company ("ARC", located at 1303 Northside Blvd., South Bend, Indiana, 46615), http://www.e-arc.com, (574) 287-2944, toll free at (800) 783-7231. There will be a non-refundable charge for reproduction as set by ARC for every set of documents for all bidders. B. Bid Requirements 1. Bids must be on the City of South Bend Contractor's Bid for Public Work Form, accompanied by a Certified Check or Bid Bond in the amount of not less than five percent (5%) of the base bid plus any alternates, in a sealed envelope noting the project name, number and your company's information on the front. 2. Acknowledgement of receipt of any Addendum must be included in bid submission. a. Addenda will be published on the ARC website. 3. MWBE Forms must be completed, signed, and handed in with the bid submission. These forms are shown in the bid proposal, Contractor's Bid for Public Works, sheets 8, 9,10. 4. A checklist for bidders is included in the Contractor's Bid for Public Works, sheet 1. 5. Bids are due at the Office of the Board of Public Works, County -City Building Room 1316, 227 West Jefferson Blvd, South Bend, Indiana, 46601 until the hour of 9:30 a.m., Local Time, on December 12, 2017. C. Award of Bid 1. The anticipated bid award date is December 21, 2017. Bids remain subject to acceptance for sixty calendar days after bid opening. 2. Upon award, the successful Bid provider shall supply the following bonds a. Payment Bond within seven (7) days of the Notification of Award for an amount equal to one hundred percent (100%) of the contract amount. b. Performance Bond within seven (7) days of the Notification of Award for an amount equal to one hundred twenty-five percent (125%) of the contract amount. 3. Payments for work completed during this project will be made every thirty (30) calendar days. Consistent with provisions of IC 36-1-12-14, the Board of Public Works shall retain a percentage of payments throughout the duration of the project. 4. Materials and properties purchased under contract with the Owner that becomes a permanent part of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax). The exemption number will be furnished to the Contractor upon award. V. Comments by Department of Public Works A. Three houses have been removed from the bid. 1. A-06 --1523 Elwood Avenue 2. C-07 —1614 Kendall Street 3. C-10 — 225 E Calvert Street VI. Contractor Questions J 0 CIA N `° N \r` o � s C� Id UN s WVIT \ � 1 1r� ti, 1316 COUNTY -CITY BuILDINO 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 Date: December 6, 2017 To: All Planholders PHONE 574/235-9251 FAX 574/ 235-9171 TDD 5741235-5567 CITY OF SOUTH BEND PETS BUTTIGIEo, MAYOR BOARD OF PUBLIC WORKS 2017 Demolitions, Phase 2 117-121 Addendum No. I From: Roger T. Nawrot, PE & PLS, Assistant City Engineer I. Summary of Revisions 1. Three houses have been removed from the bid. a. A-06 —1523 Elwood Avenue b. C-07 — 1614 Kendall Street c. C-10 — 225 E Calvert Street 2. The completion date for all Divisions has been changed to March 30, 2018 for all work excepting seeding. Contractors will have until April 27, 2018 to complete seeding work for all Divisions. 3. Certificate of Appropriateness has been obtained from the Historical Preservation Commission for 805 Leland Avenue (A-12). The following information is to be changed/added to the contract documents: H. Special Provisions 1. REPLACE, Section XII.B.6 6. Contractor may commence demolition work at more than one demolition site, provided that Contractor performs Work continuously on each site. Clearing and grubbing of sites may begin in advance of demolition, if desired, provided organic and inorganic debris is promptly removed from the site or fenced as a hazard. Once demolition of a structure commences on a site, progress shall be continuous through removal of all debris. Inspections of the completed demolition sites and Department of Public Works approval is required before Contractor proceeds to the next property or properties to be demolished. There will be no relief of this schedule if the same Contractor is awarded contracts for more than one Division of this project, or other separate contracts for work under the City's Vacant and Abandoned Housing Initiative. Multiple contracts to the same Contractor must be performed simultaneously, not consecutively. 2. REPLACE, Section XII.B.10 10. The demolition work, including clearing and grubbing, asbestos abatement, complete demolition of structures, backfilling, and grading, for all divisions shall have a completion date of March 30, 2018. Contractors shall complete seeding of the sites by April 27, 2018. 3. REPLACE, Section XX.B.1 1. The Work of this project is offered in three (3) Divisions: Division A, Division B, and Division C. a. Division A: 11 Houses, A-01, 02, 03, 04, 05, 07, 08, 09, 10, 11, 12 b. Division B: 9 Houses, B-01, 02, 03, 05, 06, 07, 09, 10, 11 C. Division C: 8 Houses, C-02, 03, 04, 05, 06, 08, 09, 11 4. REPLACE the section numbers for the following section titles with those listed below. XXI. SAFETY AND SITE SECURITY XXII. TEMPORARY EROSION CONTROL XXIII. ASBESTOS ABATEMENT XXIV. DEMOLITION AND CLEARING XXV. CONCRETE APPROACH, SIDEWALK, AND CURB REMOVAL XXVI. TOPSOIL AND MULCHED WHITE DUTCH SEEDING III. Bid/Proposal 7. REPLACE Bid/Proposal form with the attached revision. Attachments: Revised Bid Form (4 pages) Pre -Bid Agenda (2 pages) Pre -Bid Sign In Sheet (I page) -This addendum consists of a total 10 pages inclusive of "Acknowledgement of Receipt of Addendum" sheet-